[Specific Characteristics of Trigger Finger in Children].

Area of Science:

• Pediatric Orthopedics
• Hand Surgery
• Musculoskeletal Conditions

Background:

• Trigger finger in children is uncommon and distinct from adult cases.
• It differs from the more frequent pediatric trigger thumb.
• Understanding these differences is crucial for effective treatment.

Purpose of the Study:

• To evaluate the effectiveness of additional surgical measures for persistent trigger finger in children.
• To assess outcomes after A1 pulley release with sublimis tendon resection.
• To identify factors associated with treatment success or complications.

Main Methods:

• Retrospective analysis of 42 children (63 trigger fingers) undergoing surgery.
• Focus on 12 children requiring additional intervention (sublimis tendon resection) after A1 pulley release.
• Chart review and phone call follow-up (mean 4.8 years) assessing function, pain, and complications.

Main Results:

• Excellent outcomes were achieved with A1 pulley release and sublimis tendon resection.
• One case of recurrence and one case of PIP joint contracture were noted.
• These complications occurred when A2 pulley enlargement was performed alongside A1 release.

Conclusions:

• Resection of one sublimis tendon limb is a successful treatment for persistent pediatric trigger finger post-A1 pulley release.
• This approach offers a viable solution for challenging cases.
• Careful surgical technique, avoiding unnecessary widening, is important to prevent complications.